Trophoneurosis

Trophoneurosis is a pathological condition characterized by a chronic conflict of interests of the digestive organs.

From a clinical point of view, trophoneurosis is an inadequate and long-lasting psychophysiological condition of a person (usually a middle-aged woman), manifested by pain in the epigastric region, bursting and localized mainly in the upper abdomen, intensifying with palpation and taking a horizontal position.

The main factor leading to damage to the gastrointestinal tract in patients with trophoneurosis is psychological stress factors, which in many cases have a decisive influence, increasing the sensitivity threshold of the autonomic nervous system. In this case, a headache occurs in parallel, and various symptoms of neurocirculatory dystonia often appear. Elderly people have predisposing factors for the development of trophoneurosis in the cardiovascular system, associated with circulatory failure and atherosclerosis, which can provoke the appearance of abdominal pain and its intensification. In this way, the autonomic imbalance is compensated with the involvement of somatic disorders and the appearance of psychosomatic pathology as consequences. It should be noted that, in contrast to somatoform autonomic symptoms in children, the nutritional group of factors is of decisive importance. The dominant place belongs to the emotional reactions of mothers due to the negative emotional contact of the fetus with the mother, the personal reaction of the child and the conflict atmosphere that develops in the family, where the parents are overprotective: anxious-caring, selfish and domineering, often unable to communicate and understand each other. The above factors increase the reactivity of the parasympathetic division of the ANS and create a favorable background for the emergence of emotional, including somatic, disorders and the further formation of psychopathology due to improper upbringing of the child. Thus, clinical manifestations of trophoneurotic conditions are accompanied by disorders of the digestive, respiratory and cardiovascular systems and often have subtle manifestations. The patient's reluctance to seek medical help is the reason for late hospitalizations, sometimes for several years, in the absence of effective treatment for this disease. An advanced trophoneurotic process is a prerequisite for the formation of pseudoasthenia, psychopathology, an increased likelihood of myocardial infarction, and the development of hypertension and diabetes mellitus. Treatment of trophoneurosis should be carried out under the supervision of a neurologist, gastroenterologist and psychotherapist. An important aspect is the normalization of the daily routine, nutrition, and drug treatment.